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A Comparison of the Ambu AuraGain Versus LMA Supreme in Children

17. juli 2015 oppdatert av: Narasimhan Jagannathan, Ann & Robert H Lurie Children's Hospital of Chicago

A Randomized Comparison of the Ambu AuraGain™ and LMA Supreme™ in Infants and Children

The purpose of this study is to determine whether there is a clinically relevant difference in airway leak pressures between the Ambu AuraGain and the Laryngeal Mask Airway (LMA) Supreme.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

The goal of this prospective randomized study is to compare whether there is a clinically relevant difference in airway leak pressures between the Ambu AuraGain (sizes 1.5 and 2) and the Laryngeal Mask Airway (LMA) Supreme. Parameters of clinical relevance such as insertion success rates, fiberoptic view of the glottic opening, ease and speed of gastric tube placement, airway stability, and peri-operative complications will also be assessed.

Studietype

Intervensjonell

Registrering (Faktiske)

100

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • Illinois
      • Chicago, Illinois, Forente stater, 60611
        • Ann & Robert H Lurie Children's Hospital of Chicago

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

3 måneder til 6 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Scheduled for surgery utilizing a supraglottic airway device
  • ASA (American Society of Anesthesiologists) I-III classification
  • Weighing between 5 - 20 kilograms

Exclusion Criteria:

  • Active respiratory infection
  • History of difficult mask ventilation
  • Diagnosis of congenital syndrome with difficult airway management
  • Active gastrointestinal reflux
  • Coagulopathy
  • Significant Pulmonary disease
  • Emergent surgery

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Ambu AuraGain
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
Enhet: Ambu AuraGain (size 1.5 or size 2.0)
The device will be inserted and timed. A leak pressure test will be performed after successful insertion and after 10 minutes. The larynx will be visualized by placing a fiberoptic bronchoscope through the device. A gastric tube will be inserted through the device and timed.
Andre navn:
  • Ambu AuraGain
Aktiv komparator: LMA Supreme
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
Enhet: LMA Supreme (size 1.5 or size 2.0)
The device will be inserted and timed. A leak pressure test will be performed after successful insertion and after 10 minutes. The larynx will be visualized by placing a fiberoptic bronchoscope through the device. A gastric tube will be inserted through the device and timed.
Andre navn:
  • LMA Supreme

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Oropharyngeal (airway) leak pressure - Initial
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
The airway pressure at which an airway leak is observed after successful placement of the supraglottic airway
Assessed intraoperatively at the time of confirmed device placement
Oropharyngeal (airway) leak pressure - 10 Minutes
Tidsramme: Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device
The airway pressure at which an airway leak is observed 10 minutes after successful placement of the supraglottic airway
Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Time for Successful Placement of the Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Time for successful placement of supraglottic device will be recorded
Assessed intraoperatively at the time of confirmed device placement
Number of attempts to placement of Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Number of attempts and insertion techniques will be recorded (maximum of 3 attempts)
Assessed intraoperatively at the time of confirmed device placement
Fiberoptic Grade of Laryngeal View through Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Fiberoptic Grade of Laryngeal View through either device will be graded using a previously published grading system
Assessed intraoperatively at the time of confirmed device placement
Gastric Tube Insertion Ease of Placement
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
The ease of placement, based on a 1-4 scale, will be recorded following placement and confirmation of the gastric tube.
Assessed intraoperatively at the time of confirmed gastric tube placement
Gastric Tube Insertion Time
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
The elapsed time from beginning insertion of the gastric tube to confirmation, will be recorded. Confirmation of gastric tube placement will be determined by injection of air with auscultation (listening for sounds) over the stomach with a stethoscope.
Assessed intraoperatively at the time of confirmed gastric tube placement
Gastric Tube Insertion Attempts
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
Number of insertion attempts of the gastric tube through the SGA will be recorded. Confirmation of gastric tube placement will be determined by injection of air with auscultation (listening for sounds) over the stomach with a stethoscope.
Assessed intraoperatively at the time of confirmed gastric tube placement
Postoperative Complications
Tidsramme: Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
Patient will be evaluated for sore throat, cough, dysphonia, stridor, or other airway related complications during the post-operative period.
Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
Intraoperative Complications
Tidsramme: Assessed intraoperatively
Complications such as reflex activation of the airway (coughing, breath holding, laryngospasm, bronchospasm), oxygen desaturation will be recorded, if they occur.
Assessed intraoperatively

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Ann & Robert H Lurie Children's Hospital of Chicago

Etterforskere

  • Hovedetterforsker: Narasimhan Jagannathan, M.D., Ann & Robert H Lurie Children's Hospital of Chicago

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. mars 2015

Primær fullføring (Faktiske)

1. juni 2015

Studiet fullført (Faktiske)

1. juni 2015

Datoer for studieregistrering

Først innsendt

26. februar 2015

Først innsendt som oppfylte QC-kriteriene

2. mars 2015

Først lagt ut (Anslag)

5. mars 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

20. juli 2015

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. juli 2015

Sist bekreftet

1. juli 2015

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • IRB 2015-252

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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